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Nurses as Teachers Preceptor Workshop Module 5: Delegation

Nurses as Teachers Preceptor Workshop Module 5: Delegation. Module 5: Delegation. Delegation is…. Delegation as “transferring to a competent individual the authority to perform a selected nursing task in a selected situation .” (NCSBN, 1995).

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Nurses as Teachers Preceptor Workshop Module 5: Delegation

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  1. Nurses as Teachers Preceptor Workshop Module 5: Delegation

  2. Module 5: Delegation

  3. Delegation is… Delegation as “transferring to a competent individual the authority to perform a selected nursing task in a selected situation.” (NCSBN, 1995) Delegation as “the transfer of responsibility for the performance of an activity from one individual to another while retaining accountability for the outcome.” (ANA, 1994)

  4. Delegation is…

  5. Delegation’s Historical Perspective • Pre-’70’s: Delegation was how nurses worked: few RN’s on floors, Team Nursing • ’70’s – ’80’s: Huge technology advances in nursing care and hospitals… More RN’s, fewer assistive staff. • Mid ’90’s: Shift from all professional staff to multi- level nursing staff, Cost containment strategies coupled with nursing shortages

  6. Delegation is… In 2005, the ANA and the NCSBN adopted papers on delegation. Both papers presented the same message. • … an art • … a skill • … a process • … a concept Delegation is an essential nursing skill.

  7. Activity

  8. Management skills Mentorship skills Knowledge of the chain of command Knowledge of scope of practice Understanding of nursing task vs. professional responsibility Knowledge & understanding of liabilities Delegation requires…

  9. Delegation • …promotes teamwork • …reinforces organizational harmony • …increases productivity • …empowers others • …enhances communication • …develops skills • …builds trust • …builds leadership skills

  10. Delegation benefits… • Allows the nurse more freedom within her span of control • Others can do task-oriented items • Nurse can do the crucial things: > assessment > judgment & decisions > coordinate patient care • Allows the delegatee to learn new skills

  11. Activity

  12. Understand delegation concepts Master delegation skills Practice the art of working with people Implement delegation as an ongoing process Effective Delegation

  13. Identify the purpose Identify the competencies of the delegatee Understand the job descriptions and policies in the area Delegation Process

  14. Five Rights • Right Task • Right Person • Right Communication • Right Circumstance • Right Supervision

  15. 1. Right Task

  16. 2. Right Person

  17. 3. Right Communication

  18. 4. Right Circumstance

  19. 5. Right Supervision

  20. Decision Making Tree • State Rules, Regs, Practice Act • Facility Policies • Assessment Prior to Delegation • Assess the Delegatee • Adequate RN Supervision • Reasonable & Prudent • Clear Communication

  21. Golden Rule • Do not delegate… • …assessment • …planning • …evaluation

  22. Decision Making Tree - Grid Tools to assist nurses in making delegation decisions

  23. Activity

  24. Board of Nursing Rules Review the Functions of Nursing with your orientee

  25. Delegation as Team Work • Trust one another • Respect all roles & tasks • Admiration for co-workers • Define roles clearly • Expectations upheld for all

  26. Activity

  27. Activity

  28. Page 120 Delegation Task List

  29. Rural Case Study

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